Analysis: New mandatory radiation therapy payment model
Details about the new five-year mandatory radiation therapy model released by CMS the week of July 8 are reviewed.
Pursuing a Proactive Denials Strategy Helps Resolve Denials and Prevent Recurrence
A look at how one company is partnering with healthcare organizations to use data and technology to address the root causes of long-standing problems, including denials.
Primary Care First Model holds promise but faces challenges
CMS's Primary Care First Model aims to create incentives for primary care physicians to take on risk under value-based payment, but whether it will be successful remains to be seen.
Providers press CMS for details amid lingering uncertainty about new primary care models
The possibility of conflicts between Medicare payment models joined the customary concern about benchmarking details in provider feedback on coming primary care models, an administration official said.
Four key takeaways from Congress’s latest single-payer hearing
Although the first hearing by a healthcare committee on recent coverage expansion proposals was supposed to encompass a range of Democratic bills, national single-payer proposals garnered almost all the attention.
Several new Medicare primary care payment models to launch in 2020
Medicare eventually hopes to pay 25% of fee-for-service physicians under one of five primary care models planned for launch in 2020.
HFMA’s Payment Reform Project White Papers
HFMA has led a payment reform thought leadership initiative to identify the principles that should guide changes to the current healthcare payment system and the competencies that providers will need to succeed. The initiative's findings and recommendations are summarized in these white papers.
Medicare Physician Fee Schedule Final Rule: 3 Must-Do Steps for Physicians
The Medicare Physician Fee Schedule for 2019 includes a variety of new policies—and revenue opportunities for providers if they take a few key steps in relation to areas such as payment rates, documentation requirements, and new services.
CY 2019 MPFS Final Rule Executive Summary Presentation
This presentation briefly summarizes the CY 2019 updates to payments and other programs contained in the MPFS final rule, published by CMS.
CY 2019 Medicare Physician Fee Schedule Final Rule
This document briefly summarizes the payment rate updates under the CY 2019 Medicare Physician Fee Schedule final rule, published by CMS.